Individual provider Active NPI

Danielle Jane Sierks, FNP

  • Family Nurse Practitioner
  • Leavenworth, KS
National Provider Identifier
1508759606
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-84411-122 Issued in KS
Practice address
3550 S 4TH St Ste 200
Leavenworth, KS 66048-5009
Phone
(913) 772-6046
NPI assigned
May 29, 2025
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-84411-122 KS Primary

Addresses

Primary practice location

3550 S 4TH St Ste 200
Leavenworth, KS 66048-5009

Mailing address

19797 Parallel Rd
Tonganoxie, KS 66086-5355
Phone (913) 626-0170

Other practice location 1

3550 S 4th St
Leavenworth, KS 66048-5071
Phone (913) 680-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250726000038 KS Practitioner - Family Practice 9537676481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

100 E Kansas St
Suite C
Lansing, KS 66043-1610
Phone (913) 758-0283

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
162847KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Sep 1, 2025 Accepting new patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Sep 1, 2025 Accepting new patients
Prime Healthcare Services - Saint John Leavenworth, LLC Past Accepting new patients

Locations

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

757 W Eisenhower Rd
#R
Lansing, KS 66043
Phone (913) 297-2299

3550 S 4th St
Leavenworth, KS 66048
Phone (800) 903-2088

3550 S 4th St
Ste 110
Leavenworth, KS 66048
Phone (913) 651-3300

3550 S 4th St
Ste 120
Leavenworth, KS 66048
Phone (913) 772-6046

3550 S 4th St
Ste 200
Leavenworth, KS 66048
Phone (913) 680-6442

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1508759606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19797 PARALLEL RD",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660865355",
            "telephone_number": "913-626-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 S 4TH ST STE 200",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485009",
            "telephone_number": "913-772-6046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "KS",
            "postal_code": "660485071",
            "country_code": "US",
            "telephone_number": "913-680-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIERKS",
        "first_name": "DANIELLE",
        "middle_name": "JANE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-29",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-84411-122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, KS

Sources for this page

Verify at the official NPI Registry.